Active NPI
Ava M Adams-Morris, MD
- Family Medicine Physician
- Mankato, MN
National Provider Identifier
1356326284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44889
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 625-4031
- NPI assigned
- Dec 14, 2005
- Last updated
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44889 | MN | Primary |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
101 Martin Luther King Dr
Mankato, MN 56001-6460
Phone (507) 385-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8HI009 | Other | MN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44889 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Minnesota Region | Past | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mayo Clinic Health System Pharmacy - Cannon Falls
- Clinic Pharmacy
- Cannon Falls, MN
- NPI 1699597468
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1356326284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MARTIN LUTHER KING DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016460",
"telephone_number": "507-385-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752",
"telephone_number": "507-625-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS-MORRIS",
"first_name": "AVA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "44889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8HI009",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
- Lesheana Acfalle, TM
- Vyoma Acharya, M.D.
- Achieving Balance Counseling, LTD
- Nancy Achterhoff, L.M.F.T.
- Adam Anderson, PHD, Clinical Psychologist, LLC
- Dariyan Rose Adams
- McKenzie Jo Adams, DPT
- Cassandra Adamson, ATC
- Addiction Recovery Technologies, Inc.
- Addictions & Stress Clinic (ASC Psychological Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.